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Remote Claim Processor Jobs in California (NOW HIRING)

CCMSI

WC Claim Associate I LevelUP

Irvine, CA · Remote

$60K - $70K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote, reporting to Irvine, CA branch. Preferred Location : California Schedule: Monday through ... We don't just process claims--we support people. As the largest privately-owned Third Party ...

CCMSI

WC Claim Associate I LevelUP

Irvine, CA · Remote

$19 - $25.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote, reporting to Irvine, CA branch. Preferred Location : California Schedule: Monday through ... We don't just process claims-we support people. As the largest privately-owned Third Party ...

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All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in California

Remote Claim Processor information

See California salary details

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How much do remote claim processor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote claim processor in California is $18.91, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.38 per hour, depending on experience, location, and employer.

What is a remote claim processor?

A Remote Claim Processor is a professional who reviews, evaluates, and processes insurance claims from a remote location, often from home. They verify the accuracy of submitted information, ensure policy guidelines are met, and decide whether claims should be approved, denied, or require further investigation. This role typically involves working with health, auto, or property insurance claims and requires strong attention to detail, analytical skills, and familiarity with relevant software systems. Working remotely allows claim processors to handle their duties outside of a traditional office environment while maintaining communication with their team and clients through digital platforms.

What skills and qualifications are needed to thrive as a remote claim processor?

To thrive as a Remote Claim Processor, you need strong analytical skills, attention to detail, and a background in insurance or healthcare administration, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and Microsoft Office is crucial for daily tasks. Excellent communication, problem-solving abilities, and self-motivation help remote claim processors efficiently resolve issues and work independently. These skills ensure accurate claims processing, timely resolution, and high customer satisfaction in a remote environment.

What are common challenges faced by remote claim processors, and how can they be managed?

Remote claim processors often encounter challenges such as maintaining effective communication with team members and staying up-to-date with changing insurance policies and procedures. To manage these challenges, it's important to leverage collaboration tools like instant messaging and video conferencing, and to participate actively in virtual training sessions. Additionally, setting up a dedicated workspace and following a structured daily routine can help ensure productivity and accuracy when processing claims remotely.

What is the difference between Remote Claim Processor vs Remote Claims Examiner?

AspectRemote Claim ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; often requires insurance or healthcare-related certifications
Work EnvironmentHome-based, independent work settingHome-based, independent work setting
Industry UsageInsurance, healthcare, government agenciesInsurance, healthcare, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing and adjudicating insurance claims, ensuring compliance

Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.

What are popular job titles related to Remote Claim Processor jobs in California?

For Remote Claim Processor jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Claim Processor jobs in California look for?

The top searched job categories for Remote Claim Processor jobs in California are:

What cities in California are hiring for Remote Claim Processor jobs?

Cities in California with the most Remote Claim Processor job openings:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in California as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $39,341 per year, or $18.9 per hour.

WC Claim Associate I LevelUP

CCMSI

Irvine, CA • Remote

$60K - $70K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

LevelUP Career Development Program – Claims Trainee (Paid Training)

Location:  Remote, reporting to Irvine, CA branch.  

Preferred Location: California
Schedule:  Monday through Friday 8am to 4:30pm PST
Compensation Progression: $55,000 → $60,000 → $70,000 upon program completion
Launch your insurance career through our LevelUp Claims Training Program—a structured, paid development pathway designed to fasttrack new claims professionals into fullscope handling positions. This is an excellent opportunity for motivated individuals interested in entering the claims field with comprehensive training, mentorship, and a clear salary progression.
 
This is an hourly, full-time paid training program. After successful completion (typically ~12–18 months), LevelUP graduates move into a salaried Claims Representative I position with continued career growth opportunities.
 

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary (Start here)

LevelUP is a paid, full-time training program designed to launch your career as a Claims Professional. This is not a temporary program or a “helper” role—it’s a structured pathway that prepares you to grow into a professional Workers’ Compensation Claims Adjuster/Claim Representative role.

In simple terms: you’ll learn how to help employees who are injured at work navigate the claim process, communicate with people involved, gather information, document decisions, and keep things moving forward—accurately, timely, and with care.

LevelUP generally takes 12-18 months and includes:

  • Guided learning (eCourses and structured training)
  • Work shadowing and hands-on practice
  • Mentoring from experienced professionals
  • Regular feedback and skill assessments
    As you progress, you’ll take on more responsibility and build the skills needed to move into a higher-level claims role.

What You’ll Do in the Program (What your day-to-day looks like)

Your responsibilities grow as you progress through the program. You’ll start by learning systems and foundational tasks, then gradually move into handling claims work with support and mentoring.

In the early phase, you will:

  • Learn CCMSI systems and everyday tools (email/calendar, shared drives, claim systems)
  • Process incoming documents and bills
  • Complete required forms and claim paperwork
  • Communicate by phone and email with people involved in a claim (injured employees, medical offices, employers, attorneys)
  • Support experienced Claims Professionals by assisting on claim files

As you grow in the program, you will learn to:

  • Set up new claims and gather key information
  • Make required contact with involved parties promptly (injured employee, employer, medical providers)
  • Conduct basic claim investigations and document findings clearly
  • Build action plans, track deadlines, and move claims forward
  • Work with a mentor and take on a growing claim workload as your skills develop
  • Prepare for and (if required for the work you’re assigned) pass a state licensing exam

By the later phases, you may:

  • Manage a larger group of active claim files with increased independence
  • Participate in claim reviews and legal reviews as part of your learning
  • Complete advanced best-practices training and prepare for promotion

Who This Program Is For (Ideal candidates)

We’re looking for people who want a long-term, professional career and are motivated by learning, helping others, and solving problems.

This could be a great fit if you:

  • Want a stable career path with growth and structured training
  • Like organizing information and staying on top of multiple priorities
  • Communicate clearly and professionally (written and verbal)
  • Can make decisions using facts and good judgment
  • Enjoy helping people through stressful situations with empathy and confidence
  • Are comfortable working at a desk, using computer systems, and being on the phone regularly

Required Qualifications

  • High School Diploma or equivalent
  • Interest in building a long-term career in a professional office environment
  • Strong organization and time management skills (you can prioritize, track tasks, and meet deadlines)
  • Strong written communication (clear grammar, complete sentences, accurate documentation)
  • Strong interpersonal skills (professional, respectful, able to listen and explain)
  • Comfort using technology and learning new systems (typing, navigating multiple applications)
  • Dependability (consistent attendance, follow-through, and ownership of work)
  • Ability to learn and follow guidelines, documentation standards, and time-sensitive requirements
  • Ability to work effectively with feedback, coaching, and evaluations throughout the program
  • Ability to pass a state licensing exam if required for the claims you will support/handle

 

Nice to Have (Not Required)

  • Experience in customer service, call center, administrative support, healthcare office work, legal support, or similar fast-paced environments
  • Bilingual (Spanish) proficiency — highly valued for communicating with injured employees, employers, or partners, but not required
  • Experience managing multiple tasks while maintaining accuracy and attention to detail
  • Familiarity with Medical Terminology is helpful but not required

What We Expect (What it Takes)

To thrive in LevelUP, you’ll need to:

  • Show a strong work ethic and positive, professional attitude
  • Stay organized and keep work moving without constant reminders
  • Ask thoughtful questions and learn from coaching
  • Treat every claim like it represents a real person’s livelihood
  • Keep commitments—strong follow-up and reliable communication matter here

How We Measure Success

At CCMSI, great claims professionals stand out through ownership, accuracy, and impact. We measure success by:

  • Quality work – thorough documentation, clear notes, and well-supported decisions
  • Timeliness & follow-through – meeting deadlines and keeping work moving forward
  • Communication – proactive updates and professional interactions with all parties
  • Sound judgment – using facts, staying objective, and solving problems with integrity
  • Learning & growth – applying training, improving consistently, and building independence
  • Cultural alignment – believing every claim represents a real person and acting accordingly

This is where we shine, and we hire people who want to shine with us.

Why You’ll Love Working Here

  • 4 weeks of PTO (accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: structured training + clear advancement opportunities
  • Culture: supportive, team-based environment with mentoring and development

Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency – build trust by being open and listening intently
  • Perform with integrity – choose the right path, even when it’s hard
  • Chase excellence – set the bar high and measure results
  • Own the outcome – every employee is an owner and acts like it
  • Win together – our greatest victories come when our clients succeed

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LevelUP #PaidTraining #CareerPath #EntryLevel #CaliforniaJobs #WorkFromHome #AnalyticalThinking #ClaimsCareers #BilingualPreferred #IND456 #LI-Remote #CCMSILevelUP

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